RISING TREND OF USING LAPAROSCOPY IN THE TREATMENT OF COMPLICATED APPENDICITIS IN OUR INSTITUTION DURING JANUARY 2017-MAY 2019
Journal
Македонски медицински преглед = Macedonian Medical Review
Date Issued
2019
Author(s)
Gjorgji Stavridis
Igor Fildishevski
Angelina Krsteva
Darko Dimitrovski
Burim Elezi
Valjon Saliu
Senol Tahir
Stefan Arsenkov
Dragoslav Mladenovic
Abstract
Abstract
Introduction. Laparoscopic appendectomy was performed for the first time in the University Clinic for Surgery “St. Naum Ohridski” back in 2003 by the pediatric
surgeons. At the moment it is still unrecognized by
many senior surgeons as a reliable and safe alternative
procedure for acute appendicitis. The end-point of this
study is to present the rising trend of using laparoscopy in the treatment of complicated appendicitis.
Methods. In the period between January 2017 and
May 2019 a total number of 403 patients were operated
on due to a preoperative diagnosis of acute appendicitis (270 with open and 133 with laparoscopic appendectomy) and were retrospectively analyzed.
Results. Simple appendicitis was diagnosed intraoperatively in 248 patients and complicated appendicitis was
diagnosed in 141 patients. The rising trend for overall
use of laparoscopy for acute appendicitis was seen
during the study period (20.9%, 32.2% and 63.3% in
2017, 2018 and 2019, respectively). In terms of complicated appendicitis, a drastic positive trend followed
in favor of laparoscopy (8.9%, 24.6% and 36.7% in 2017,
2018 and 2019, respectively). The negative appendectomy rate with other intraoperative finding was 3.46%
(14 cases). The conversion rate was 2.25%.
Conclusion. We can finally conclude that the laparoscopic appendectomy is recognized as an effective and
safe alternative in the treatment of complicated appendicitis in our institution.
Introduction. Laparoscopic appendectomy was performed for the first time in the University Clinic for Surgery “St. Naum Ohridski” back in 2003 by the pediatric
surgeons. At the moment it is still unrecognized by
many senior surgeons as a reliable and safe alternative
procedure for acute appendicitis. The end-point of this
study is to present the rising trend of using laparoscopy in the treatment of complicated appendicitis.
Methods. In the period between January 2017 and
May 2019 a total number of 403 patients were operated
on due to a preoperative diagnosis of acute appendicitis (270 with open and 133 with laparoscopic appendectomy) and were retrospectively analyzed.
Results. Simple appendicitis was diagnosed intraoperatively in 248 patients and complicated appendicitis was
diagnosed in 141 patients. The rising trend for overall
use of laparoscopy for acute appendicitis was seen
during the study period (20.9%, 32.2% and 63.3% in
2017, 2018 and 2019, respectively). In terms of complicated appendicitis, a drastic positive trend followed
in favor of laparoscopy (8.9%, 24.6% and 36.7% in 2017,
2018 and 2019, respectively). The negative appendectomy rate with other intraoperative finding was 3.46%
(14 cases). The conversion rate was 2.25%.
Conclusion. We can finally conclude that the laparoscopic appendectomy is recognized as an effective and
safe alternative in the treatment of complicated appendicitis in our institution.
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